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General NPI Number Information
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NPI Number | 1629957428
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Entity Type | Organization
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Legal Business Name | NEUROCLARITY CENTER, PLLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 350 W KENSINGTON RD STE 111
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-1141
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Country | US
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Telephone | 847-707-4249
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Fax |
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Provider Business Mailing Address
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Address Line | 350 W KENSINGTON RD STE 111
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-1141
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Country | US
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Telephone | 773-431-1728
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Fax |
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Authorized Official
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Title or Position | OWNER/NEUROPSYCHOLOGIST
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Name | DR. PAOULA D JEDZINIAK
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Credential | PSYD
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Telephone | 773-431-1728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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